Business Wire

Afya Limited Announces Second-Quarter and First Half 2021 Financial Results

Strong Operational Performance

High Cash Flow Generation

NOVA LIMA, Brazil–(BUSINESS WIRE)–Afya Limited (Nasdaq: AFYA) (“Afya” or the “Company”), the leading medical education group and digital health service provider in Brazil, reported today financial and operating results for the three and six-month period ended June 30, 2021 (second quarter 2021). Financial results are expressed in Brazilian Reais and are presented in accordance with International Financial Reporting Standards (IFRS).

Second Quarter 2021 Highlights

  • 2Q21 Adjusted Net Revenue increased 39.1% YoY to R$381.5 million. Adjusted Net Revenue excluding acquisitions grew 9.0%, reaching R$299.0 million.
  • 2Q21 Adjusted EBITDA increased 36.0% YoY reaching R$160.7 million, with an Adjusted EBITDA Margin of 42.1%. Adjusted EBITDA excluding acquisitions increased 3.1%, reaching R$121.8 million, with an Adjusted EBITDA Margin of 40.7%.
  • 2Q21 Adjusted Net Income of R$65.1 million, 27.3% lower than 2Q20.

First Half 2021 Highlights

  • 1H21 Adjusted Net Revenue increased 43.5% YoY to R$784.0 million. Adjusted Net Revenue excluding acquisitions grew 9.9%, reaching R$600.5 million.
  • 1H21 Adjusted EBITDA increased 42.3% YoY reaching R$368.3 million, with an Adjusted EBITDA Margin of 47.0%. Adjusted EBITDA excluding acquisitions grew 7.8%, reaching R$279.1 million, with an Adjusted EBITDA Margin of 46.5%
  • Cash conversion of 103.5%, with a solid cash position of R$ 1.4 billion.
  • 2,303 medical seats, 23.4% increase YoY, and 13,390 medical students, which was up 47.2%.
Table 1: Financial Highlights
For the three months period ended June 30, For the six months period ended June 30,
(in thousand of R$)

2021

2021 Ex

Acquisitions*

2020

% Chg

% Chg Ex

Acquisitions

 

2021

2021 Ex

Acquisitions*

2020

% Chg

% Chg Ex

Acquisitions

(a) Net Revenue

372,374

292,024

274,211

35.8%

6.5%

766,725

586,975

546,515

40.3%

7.4%

(b) Adjusted Net Revenue (1)

381,488

299,024

274,211

39.1%

9.0%

784,043

600,523

546,515

43.5%

9.9%

(c) Adjusted EBITDA (2)

160,658

121,794

118,152

36.0%

3.1%

368,309

279,056

258,796

42.3%

7.8%

(d) = (c)/(b) Adjusted EBITDA Margin

42.1%

40.7%

43.1%

-100 bps

-240 bps

47.0%

46.5%

47.4%

-40 bps

-90 bps

(e) Adjusted Net Income

65,109

35,036

89,560

-27.3%

-60.9%

225,097

156,486

221,040

1.8%

-29.2%

 
* Ex Acquisitions: stands for the same companies that Afya consolidated in the same period of the previous year. For the three months period ended June 30, 2021, “2021 Ex Acquisitions” excludes: UniSl (only April, 2021; Closing of UniSl was in May, 2020), PEBMED, FCMPB, MedPhone, FESAR, iClinic, Medicinae, Medical Harbour, Cliquefarma, Shosp and UNIFIPMoc.
For the six months period ended June 30, 2021 – “2021 Ex Acquisitions” excludes UniRedentor (only January, 2021; Closing of UniRedentor was in January 31,2020), UniSl (January to April, 2021; Closing of UniSl was in May, 2020), PEBMED, FCMPB, Medphone, FESAR, iClinic, Medicinae, Medical Harbour, Cliquefarma, Shosp and UNIFIPMoc.
1. Includes mandatory discounts in tuition fees granted by state decrees and individual/collective legal proceedings and public civil proceedings due COVID 19 on site classes restriction and excludes recognized revenue that relates to discounts that were granted in 2H2020, but were invoiced in 1H21, based on the Supreme Court decision that was released in December 28, 2020.
2. See more information on “Non-GAAP Financial Measures” (Item 10).

1. Message from Management

Virgilio Gibbon, Afya’s CEO, stated:

We’re proud to report strong operational and financial results, surpassing the guidance issued to the market – over forty percent revenue growth and record second quarter EBITDA margin. The pandemic is not over and due to our dedicated employees, we were able to increase our cash flow generation to the highest level since March, 2020, to continue extracting synergies of our recently acquired companies and to execute our digital strategy.

As physicians handle high volume of work, we’re proud our productivity tools were able to help. We expanded our clinical decision software to 18,000 additional physicians and medical students. We serve almost 40% of all Brazilian physicians and medical students with our offerings. Acquisitions completed this semester also complemented our Digital Services offering in multiple pillars, we consolidated iClinic, Medicinae, Medical Harbour, Cliquefarma and Shosp, reinforcing our unique complete offering for the medical career and gaining traction in the operational indicators.

Our Digital Team is also committed to deliver the promises we made in Afya Investors and ESG Day. We already started to consolidate our customer database into a single datalake, launched the first integrations between Medcel, iClinic and WhiteBook products, started testing the MVPs solutions with the pharma industry and initiated Afya’s Digital brand awareness strategy.

We are also excited to expand our offering in the Undergrad business with the closing of the acquisition of UNIFIPMoc this quarter and the closing of the acquisition of UNIGRANRIO in August, 2021. These acquisitions combined contributed 468 authorized medical seats to Afya, reaching 2,611 seats. This translates into 18.8 thousand students at maturity, representing a CAGR of 9.3% from 2020 to 2026. Considering these two last acquisitions Afya has added 1,179 seat since the IPO.

We also completed two major operations with shareholders this quarter. First, the U$150 million investment from SoftBank in Afya’s Series A perpetual convertible preferred shares. SoftBank will beneficially own approximately 8.4% of Afya’s total shares of the company on an as-converted basis. In connection with this sale, Paulo Passoni from SoftBank, who has vast experience in the digital business, was appointed as a board member of Afya.

Second, Bertelsmann, that has a long-term relationship with Afya, completed the acquisition of Crescera’s stake of 24.6% of Afya’s total capital and will have three seats in our Board of Directors.

Following our commitment with the UN Global Compact to encourage companies to align their actions in order to promote sustainable growth and allow society to achieve sustainable development by 2030, we assumed a voluntary commitment to have at least 50% of women in our management positions by 2030.

In addition, we also announced that Afya was certificated by Women on Board, an independent initiative whose purpose is to acknowledge, appreciate and promote corporate environments in which women are members of the board of directors. We voluntarily committed to continuing to have at least two women as board members.

Our mission to become the reference partner for physicians in their journey, by rewarding their lifelong experience and enhancing their daily practice with Afya’s digital services, continues to guide our strategy and I am really proud on what we have achieved so far.

2. Key Events in the Quarter:

  • Closing of the transaction with SoftBank in May, 2021 – SoftBank purchased US$150 million in Afya’s Series A perpetual convertible preferred shares set forth in the Certificate of Designations. In connection with such sale, Paulo Passoni from Softbank was appointed as a board member of Afya. Softbank and its affiliates beneficially own approximately 8.4% of the total shares of the company (on an as-converted basis for the Series A perpetual convertible preferred shares).
  • Closing the UNIFIPMoc and FIPGuanambi acquisition in June, 2021 – a post-secondary education institution with government authorization to offer on-campus, undergraduate courses in medicine in the states of Minas Gerais and Bahia, contributing 160 authorized medical school seats to Afya.
  • Signing of Bertelsmann’s acquisition of Crescera’s shares in Afya in June, 2021 – Crescera Educacional announced the sale of the entirety of its 23,074,134 Class B common shares of Afya to an affiliate of Bertelsmann SE& Co. KGaA, or “Bertelsmann”. In accordance to the transaction, the Company announces to the market the following adjusts to the Board of Directors: a) resignation of Felipe Argalji, as a member indicated by Crescera and b) reappointment of Daulins Emílio to occupy the vacant position from Crescera.

3. Subsequent Events in the Quarter

  • Closing the UNIGRANRIO acquisition in August, 2021 – a post-secondary education institution with government authorization to offer 308 undergraduate medical seats in the state of Rio de Janeiro. With this acquisition Afya reaches 2,611 authorized medical seats. The aggregate purchase price (enterprise value) was R$700.0 million, including the assumption of estimated Net Debt of R$73.9 million. The equity value will be paid: 60% in cash on the transaction closing date and 40% in four equal annual instalments, adjusted by the CDI rate. We expected an EV/EBITDA of 4.1x at maturity and post synergies.
  • Closing of Bertelsmann’s acquisition of Crescera’s shares in Afya in August, 2021 – Crescera Educacional announced the sale of the entirety of its 23,074,134 Class B common shares of Afya to Bertelsmann. As a result of the closing of the transaction, Daniel Borghi and Laura Guaraná from Crescera ceased to be Afya board members. Mr. Borghi will continue to support Afya as an Afya board observer during six months, starting today. Pursuant to Afya’s amended and restated articles of association, Shobhna Mohn and Kay Krafft were appointed by Bertelsmann as board members.
  • In August 12, 2021 Afya assumed a voluntary commitment to have at least 50% of women in its management positions by 2030. In addition, Afya announced that was certificated by Women on Board, an independent initiative whose purpose is to acknowledge value and promote corporate environments in which women are part of the board of directors. The company voluntarily committed to continue having at least two women as board members.

4. First Half 2021 Guidance

Guidance for 1H2021

Actual 1H2021

Adjusted Net Revenue (1) (2) (3) R$ 740 mn ≤ ∆ ≤ R$ 780 mn

R$ 773.4 mn

Adjusted EBITDA Margin 46.0% ≤ ∆ ≤ 48.0%

47.3%

 
(1) Includes Mais Medicos schools in Santa Ines and Cruzeiro do Sul starting on January 1, 2021.
(2) Includes iClinic starting on January 21, 2021.
(3) Excludes any acquisition that may have been concluded after the issuance of the guidance. Thus, does not include UNIFIPMOC, Medicinae, Cliquefarma, Medical Harbour and Shosp.

5. Second Half 2021 Guidance

The Company is introducing guidance for 2H21 which takes into account the successfully concluded acceptances of new medicine students for the second half of 2021 and the consolidation of the digital companies and medical schools acquisitions during the 1H21.

The guidance for 2021 added to our reported results for the 1H21 will total our full year 2021 as follows:

Guidance for 2021 Important considerations
2021 Adjusted Net Revenue is expected to be between R$1.720 million – R$1.760 million
  • Includes UNIFIPMoc starting on June 1, 2021.
  • Includes UNIGRANRIO starting on August 4, 2021.
  • Excludes any acquisition that may be concluded after the issuance of the guidance.
2021 Adjusted EBITDA Margin is expected to be between 42.0%-44.0%
  • Includes UNIFIPMoc starting on June 1, 2021.
  • Includes UNIGRANRIO starting on August 4, 2021.
  • Excludes any acquisition that may be concluded after the issuance of the guidance.
  • Includes the impact of the adoption of IFRS 16.

6. 1H21 Overview

Operational Review

Afya is the only company offering technological solutions to support physicians across every stage of the medical career, from undergraduate students in its medical school years through medical residency preparatory courses, medical specialization programs and continuing medical education. Afya is also positioned in digital health services, providing clinical decision apps and practice management tools as SAAS (Software as a Service).

The Company report results for three distinct business units. The first, Undergrad – medical schools, other healthcare programs and ex-health degrees. Revenue is generated from the monthly tuition fees the Company charges students enrolled in the undergraduate programs. The second, Continuing Education – specialization programs and graduate courses. Revenue is also generated from the monthly tuition fees the Company charges students enrolled in the specialization and graduate courses. The third is Digital Services – digital services offered by the Company at every stage of the medical career. This business unit is divided in 6 pillars: Content & Technology for Medical Education, Clinical Decision Software, Practice Management Tools & Electronic Medical Records, Physician – Patient Relationship, Telemedicine, and Digital Prescription and revenue is generated from printed books and e-books, which is recognized at the point in time when control is transferred to the customer and subscription fees (SaaS model).

Key Revenue Drivers – Undergraduate Courses

Table 2: Key Revenue Drivers Six months period ended June 30,

2021

2020

% Chg

Undergrad Programs
MEDICAL SCHOOL
Approved Seats (1)

2,303

1,866

23.4%

Operating Seats

2,053

1,516

35.4%

Total Students

13,390

9,097

47.2%

Total Students (ex- Acquisitions)*

8,891

7,319

21.5%

Tuition Fees (ex- Acquisitions* – R$MM)

458,683

358,214

28.0%

Tuition Fees (Total – R$MM)

665,112

406,439

63.6%

Medical School Avg. Ticket (ex- Acquisitions* – R$/month)

8,598

8,157

5.4%

UNDERGRADUATE HEALTH SCIENCE
Total Students

14,913

13,853

7.7%

Total Students (ex- Acquisitions)*

5,679

7,031

-19.2%

Tuition Fees (ex- Acquisitions* – R$MM)

41,788

52,249

-20.0%

Tuition Fees (Total – R$MM)

77,731

68,723

13.1%

OTHER UNDERGRADUATE
Total Students

15,478

16,031

-3.4%

Total Students (ex- Acquisitions)*

7,729

8,723

-11.4%

Tuition Fees (ex- Acquisitions* – R$MM)

44,645

58,829

-24.1%

Tuition Fees (Total – R$MM)

88,489

80,707

9.6%

TOTAL TUITION FEES
Total Tuition Fees (ex- Acquisitions* – R$MM)

545,116

469,292

16.2%

Total Tuition Fees (Total – R$MM)

831,332

555,869

49.6%

 
*For the six months period ended June 30, 2021 – Ex Acquisitions excludes UniRedentor, UniSl, FCMPB, FESAR and UNIFIPMoc.
(1) This number does not include UNIGRANRIO acquisition that will contribute 308 seats.

Key Revenue Drivers – Continuing Education and Digital Services

Table 3: Key Revenue Drivers

Six months ended June 30,

2021

2020

% Chg

Continuing Education
Medical Specialization & Others
Medical Specialization & Others Students

3,285

4,513

-27.2%

Medical Specialization & Others Students (ex-Acquisitions¹)

1,941

2,188

-11.3%

Net Revenue from courses (Total – R$MM)

35,272

52,325

-32.6%

Net Revenue from courses (ex- Acquisitions¹)

25,852

33,004

-21.7%

Digital Services
Content & Technology for Medical Education
Active Paying Students
Prep Courses & CME – B2C

15,670

10,594

47.9%

Prep Courses & CME – B2B

3,173

890

256.5%

Clinical Decision Software
Whitebook Active Payers

115,149

n.a

Clinical Management Tools²
iClinic Active Payers

14,371

n.a

 
Digital Services Total Active Payers

148,363

11,484

1191.9%

Digital Services Total Active Payers (ex-Acquisitions³)

18,843

11,484

64.1%

Net Revenue from Services (Total – R$MM)

81,665

43,281

88.7%

Net Revenue From Services (ex-Acquisitions³)

48,610

43,281

12.3%

 
(1) Acquisitions include the consolidation of Continuing Education courses offered by Uniredentor (acquired in January, 2021)
(2) Clinical management tools includes Telemedicine and Digital Prescription features
(3) Acquisitions include the consolidation of PEBMED, MedPhone, iClinic, Medicinae, Medical Harbour, Cliquefarma and Shosp.

Key Operational Drivers – Digital Services

Monthly Active Users (MaU) represents the number of unique individuals that consumed Digital Services content in the last 30 days of a specific period.

Total monthly active users reached 233.1 thousand, 31.6% higher than 2020.

Table 4: Key Operational Drivers for Digital Services – Monthly Active Users (MaU)

2Q21

1Q21

% Chg

4Q20

% Chg

Content & Technology for Medical Education

18,968

19,857

-4.5%

14,658

35.5%

Clinical Decision Software

181,138

173,959

4.1%

162,512

7.0%

Clinical Management Tools¹

32,968

27,799

18.6%

Total Monthly Active Users (MaU) – Digital Services

233,074

221,615

5.2%

177,170

31.6%

1) Clinical management tools includes Telemedicine and Digital Prescription features
2) There may be an overlap of users among the pillars

Seasonality

Undergrad´s and Continuing Education tuition revenues are related to the intake process and monthly tuition fees charged to students over the period thus the Company does not have significant fluctuations. On Digital Services, Medcel’s sales are concentrated in the first and last quarter of the year, as a result of enrollments of Medcel’s clients at the end and the beginning of the year. The majority of Medcel’s revenue is derived from printed books and e-books, which is recognized at the point in time when control is transferred to the customer. All other Digital Services do not present any significant seasonality. Consequently, Digital Services generally has higher revenue and results from operations in the first and last quarter of the year compared to the second and third quarters of the year.

Revenue

Total Net Revenue for the second quarter of 2021 was R$ 372.4 million, an increase of 35.8% over the same period of the prior year, due to the maturation of medical seats, increase of Medicine average ticket, expansion of Digital Services and consolidation of acquisitions. Adjusted Net Revenue in 2Q21, includes an impact of R$ 9.1 million due to the net temporary discounts in tuition fees granted by individual and collective legal proceedings and public civil proceedings related to COVID 19 and totaled R$ 381.5 million, an increase of 39.1% over the same period of the prior year. Excluding acquisitions, Adjusted Net Revenue in the second quarter increased 9.0% YoY to R$ 299.0 million.

For the six-month period ended June 30, 2021, Total Net Revenue was R$ 766.7 million, an increase of 40.3% over the same period of last year. Adjusted Net Revenue presented an increase of 43.5% over the same period of last year, totaling R$ 784.0 million. Excluding acquisitions, Adjusted Net Revenue in the six-month period increased 9.9% YoY to R$ 600.5 million

Continuing Education business reported decrease in Net Revenues in the three-month 2021 and the six-month period ended June 30, 2021 due to a reduction in active paying students because of: (a) practical programs that are not being offered since 1H20 and, (b) physicians’ decision to postpone admission to specialization courses due to COVID 19 pandemic.

Table 5: Revenue & Revenue Mix
(in thousands of R$) For the three months period ended June 30, For the six months period ended June 30,

2021

2021 Ex

Acquisitions*

2020

% Chg

% Chg Ex

Acquisitions

 

2021

2021 Ex

Acquisitions*

2020

% Chg

% Chg Ex

Acquisitions

Net Revenue Mix
Undergrad

328,434

266,491

240,102

36.8%

11.0%

650,286

505,619

451,886

43.9%

11.9%

Adjusted Undergrad¹

337,548

273,491

240,102

40.6%

13.9%

667,604

519,167

451,886

47.7%

14.9%

Continuing Education

15,984

15,984

24,758

-35.4%

-35.4%

35,272

33,110

52,325

-32.6%

-36.7%

Digital Services

28,127

9,720

9,351

200.8%

3.9%

81,665

48,744

43,281

88.7%

12.6%

Inter-segment transactions

– 171

– 171

n.a

n.a

– 498

– 498

– 977

-49.0%

-49.0%

Total Reported Net Revenue

372,374

292,024

274,211

35.8%

6.5%

766,725

586,975

546,515

40.3%

7.4%

Total Adjusted Net Revenue ¹

381,488

299,024

274,211

39.1%

9.0%

784,043

600,523

546,515

43.5%

9.9%

* Ex Acquisitions: stands for the same companies that Afya consolidated in the same period of the previous year. For the three months period ended June 30, 2021, “2021 Ex Acquisitions” excludes: UniSl (only April, 2021; Closing of UniSl was in May, 2020), PEBMED, FCMPB, MedPhone, FESAR, iClinic, Medicinae, Medical Harbour, Cliquefarma, Shosp and UNIFIPMoc.
For the six months period ended June 30, 2021 – “2021 Ex Acquisitions” excludes UniRedentor (only January, 2021; Closing of Uniredentor was in January 31,2020), UniSl (January to April, 2021; Closing of UniSl was in May, 2020), PEBMED, FCMPB, Medphone, FESAR, iClinic, Medicinae, Medical Harbour, Cliquefarma, Shosp and UNIFIPMoc.
1. Includes mandatory discounts in tuition fees granted by state decrees and individual/collective legal proceedings and public civil proceedings due COVID 19 on site classes restriction and excludes recognized revenue that relates to discounts that were granted in 2H2020, but were invoiced in 1H21, based on the Supreme Court decision that was released in December 28, 2020.
2. See more information on “Non-GAAP Financial Measures” (Item 10).

Adjusted EBITDA

Adjusted EBITDA for the three-month period ended June 30, 2021 increased 36.0% to R$ 160.7 million, up from R$ 118.1 million in the same period of the prior year. For the six-month period ended June 30, 2021, Adjusted EBITDA was R$ 368.3 million, an increase of 42.3% from the same period last year. The adjusted EBITDA Margins of both periods were slightly below the reported margins of last year, mainly due to: 1) the consolidation of PEBMED, iClinic, MedPhone, Medicinae, Medical Harbour, Cliquefarma, Shosp and UNIFIPMoc that presented lower margins than the integrated companies; 2) lower revenue from Continuing Education, as explained on the topic “Revenue” and 3) partially offset by recently acquisitions that were consolidated with high EBITDA margins (FCMPB and FESAR) .

Excluding the consolidation of acquisitions, Adjusted EBITDA for the three-month period ended June 30, 2021 increased 3.1% to R$ 121.8 million, up from R$ 118.1 million in the same period of the prior year. For the six-month period ended June 30, 2021, Adjusted EBITDA increased 7.8% YoY to R$ 279.1 million from R$ 258.8 million, while the Adjusted EBITDA Margin decreased 90 basis points to 46.5%. The adjusted EBITDA Margins of both periods were slightly below the reported margins of last year, mainly due to lower performance from Continuing Education, as explained on the topic “Revenue.”

Table 6: Adjusted EBITDA
(in thousands of R$) For the three months period ended June 30, For the six months period ended June 30,

2021

2021 Ex

Acquisitions*

2020

% Chg

% Chg Ex

Acquisitions

2021

2021 Ex

Acquisitions*

2020

% Chg

% Chg Ex

Acquisitions

Adjusted EBITDA

160,658

121,794

118,152

36.0%

3.1%

368,309

279,056

258,796

42.3%

7.8%

% Margin

42.1%

40.7%

43.1%

-100 bps

-240 bps

47.0%

46.5%

47.4%

-40 bps

-90 bps

* Ex Acquisitions: stands for the same companies that Afya consolidated in the same period of the previous year. For the three months period ended June 30, 2021, “2021 Ex Acquisitions” excludes: UniSl (only April, 2021; Closing of UniSl was in May, 2020), PEBMED, FCMPB, MedPhone, FESAR, iClinic, Medicinae, Medical Harbour, Cliquefarma, Shosp and UNIFIPMoc.
For the six months period ended June 30, 2021 – “2021 Ex Acquisitions” excludes UniRedentor (only January, 2021; Closing of Uniredentor was in January 31,2020), UniSl (January to April, 2021; Closing of UniSl was in May, 2020), PEBMED, FCMPB, Medphone, FESAR, iClinic, Medicinae, Medical Harbour, Cliquefarma, Shosp and UNIFIPMoc.

Adjusted Net Income

Adjusted Net Income for the second quarter of 2021 was R$ 65.1 million, an decrease of 27.3% over the same period of the prior year, mainly due to an decrease in net financial result that was affected by: a) R$ 1.5 billion increase YoY in gross debt, excluding IFRS 16, due to new debt contracts, acquisitions and the SoftBank investment and, b) depreciation of Brazilian Reais vs US Dollars in the period that affected our cash position in US Dollars and c) the fx rate difference between the signing of Softbank transaction and the internalization of the proceeds, that with point b) resulted in a R$28.

Contacts

Investor Relations Contact
Renata Couto, Director of Investor Relations

Phone: +55 31 3515.7564 | +55 31 98463.3341

E-mail: [email protected]

Read full story here

Related Articles

Leave a Reply

Your email address will not be published. Required fields are marked *

Comment moderation is enabled. Your comment may take some time to appear.

Back to top button

Adblock detected

Please consider supporting us by disabling your ad blocker